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Volume 26 (1995)
- Issue 6 Pages 395-
- Issue 5 Pages 286-
- Issue 4 Pages 220-
- Issue 3 Pages 157-
- Issue 2 Pages 73-
- Issue 1 Pages 5-
Volume 26, Issue 4
Displaying 1-10 of 10 articles from this issue
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Japan Society For Medical Education1995 Volume 26 Issue 4 Pages 220-221
Published: August 25, 1995
Released on J-STAGE: August 11, 2011
JOURNAL FREE ACCESSDownload PDF (164K) -
Takao MORITA, Kiyoshi ISHIDA, Masahiko HATAO1995 Volume 26 Issue 4 Pages 223-228
Published: August 25, 1995
Released on J-STAGE: August 11, 2011
JOURNAL FREE ACCESSTo determine the effectivenss of “clinical clerkship (CC)” in undergraduate clinical training, a questionaire was sent to 105 students who had received the classical bed side teaching (BST) in 1990 and to 103 who have received CC from 1992 through 1994. The effectiveness of clinical training was pointed out by 53, 7% of group BST and 61.8% of group CC. The numbers of effectively learned items were larger in the order of psychomotor, affective and cognitive domains in the group BST, while there were in the order of affective, psychomotor and cognitive domains the group CC, indicating that CC is more effective in learning in the affective domain than BST (p<0.01). In the affective domain, students learned by observing physicians' attitudes to patients in BST, while they learned through their own personal interactions with their assigned patients in CC. CC is therefore believed to be quite effective for students to learn humanistic attitudes.View full abstractDownload PDF (852K) -
Shinichi SHOJI1995 Volume 26 Issue 4 Pages 229-231
Published: August 25, 1995
Released on J-STAGE: August 11, 2011
JOURNAL FREE ACCESSFor more effective clinical clerkship of medical students in the internal medicine, a manual was developed, including (1) teaching students how to think and write “the problem oriented medical record”, (2) encouraging students to listen to, talk to and examine their assigned patients daily, (3) having students discuss with a tutor twice daily, (4) encouraging students to obtain clinical training at outpatient clinics also, and (5) advising students to participate in actual medical care of the patients under direct supervision of the assigned resident.View full abstractDownload PDF (477K) -
Masahiko HATAO, Yasuyuki TOKURA, Suminobu ITO, Kazuoki KODERA, Kazunar ...1995 Volume 26 Issue 4 Pages 233-237
Published: August 25, 1995
Released on J-STAGE: August 11, 2011
JOURNAL FREE ACCESSThe aim of this study is to report the results of the workshop which was designed to define several indispensable conditions for the implementation of the compulsory clinical training. These conditions discussed include the guarantee of position and improvement of labor conditions for trainees, standard for the authorization of institutions receiving trainees, training curricula and teaching staff of institutions, and the certificate of qualification for the trainees after the compulsory training. The products of the workshop showed plans and guidelines to these conditions as seen in this paper.View full abstractDownload PDF (707K) -
Hiromichi YAMAMOTO, Toshitaka MATSUYAMA1995 Volume 26 Issue 4 Pages 239-245
Published: August 25, 1995
Released on J-STAGE: August 11, 2011
JOURNAL FREE ACCESSWe evaluated the “Learning in a Laboratory” program, which was introduced into the curriculum at the Kyushu University School of Medicine in order to motivate students in the area of basic medical sciences. Students were assigned to a laboratory and conducted scientific research on particular subjects. We found that the program improved the image held by students of the basic sciences and scientists. However, contrary to teachers' expectations, the program exerted little influence on student choice of specialty after graduation. More appropriate objectives of the program may be development of a faculty of medicine with enhanced ties to the basic sciences and an open attitude toward continuous learning. Evaluatoin of the curriculum and feedback to teachers was necessary to improve the program.View full abstractDownload PDF (1161K) -
Junji OHTAKI, Kenji OKAMURA, Naotaka ATSUMI, Sohji NAGASE, Hiromasa KA ...1995 Volume 26 Issue 4 Pages 247-253
Published: August 25, 1995
Released on J-STAGE: August 11, 2011
JOURNAL FREE ACCESSObjective.-To survey a broad sample of Japanese internists regarding the effects of postgraduate training on their ability to provide ambulatory care.
Design.-Analysis of internists trained at university or non-university hospitals (as designated by the Ministry of Health and Welfare) by written questionnaire.
Results.-74.0% of respondents (127 in total) had undergone ambulatory care training. 30.7% were trained in outpatient clinic sessions that were held more than once a week on average. 85.8% of respondents said they recognized the differences between ambulatory care and inpatietn care. Furthermore, the percentage of respondents who understood such differences during their postgraduate training periods was higher in the group that had had ambulatory care training than the group that had not. Many respondents also suggested the necessity of training in non-internal medicine specialties (e. g. dermatology, OB-GYN, otolaryngology, orthopedics, urology and ophthalmology) that were not popular postgraduate training programs.
Conclusion.-Postgraduate training had a large effect on the ability of internists to provide ambulatory care. Japanese postgraduate training is still not sufficient in this regard. Residency training programs should put more emphasis on ambulatory care.View full abstractDownload PDF (908K) -
Seishi FUKUMA, Kiyohito KAKITA, Shinsuke ISHINO1995 Volume 26 Issue 4 Pages 255-261
Published: August 25, 1995
Released on J-STAGE: August 11, 2011
JOURNAL FREE ACCESSA questionnaire was mailed to 236 directors of clinical training hospitals and 164 directors of emergency epartments at university hospitals. A 75.4% response rate for clinical training hospitals and a 78.7% response rate for university hospitals was achieved. About 30% of clinical training hospitals and 80% of university hospitals had established emergency departments and an overall 64% of all institutions surveyed were engaged in public education regarding emergency medicine.
From analysis of patients visiting the emergency room at the Kyoto First Red Cross Hospital in 1993, we concluded that a resident has an on-call clinical emergency medicine experience once every one or two weeks in the initial two-years of postgraduate clinical training. This enabled residents to cover most of the proposed subjects as outlined by the Committee of postgraduate clinical training at the Japanese Ministry of Health and Welfare.
We recommend that the initial two-years of all clinical training programs should include an on-call rotation for emergency medicine.View full abstractDownload PDF (1036K) -
Kenji OKAMURA, Junji OHTAKI, Naotaka ATSUMI, Yasushi KAWAKAMI, Kenji Y ...1995 Volume 26 Issue 4 Pages 263-268
Published: August 25, 1995
Released on J-STAGE: August 11, 2011
JOURNAL FREE ACCESSOur previous study concerning evaluation methods of postgraduate clinical training showed a usefulness in improving clinical training, especially in the fields of clinical skills and knowledge. However, it also pointed out the unsolved problem of assessment of those behaviors in which no significant differences were shown throughout the residency period. In order to solve this problem, a feedback system has been introduced, consisting of self-evaluation during the residensy, and appropriate counseling regarding hortcomings.
In the present study, the effect of this feedback system on clinical training, particularly on physician behavior, has been analyzed. The study was performed by comparing evaluation scores, based on a five-point scale, from two groups: 35 residents who did not undergo the feedback system, and 84 residents who had. Clinical skills, knowledge, positiveness, behavior with patients and colleagues, and patients' records, were each evaluated after discussions by the teaching staff.
Our results showed that there was a significant improvement not only in clinical skills and knowledge, but also in physician behavior in the group using the feedback system. Thus, it appears that this feedback system is useful in improving postgraduate clinical training.View full abstractDownload PDF (3467K) -
Makoto FURUKAWA, Yuzuru KUMAGAI, Aki TAJIMA1995 Volume 26 Issue 4 Pages 273-276
Published: August 25, 1995
Released on J-STAGE: August 11, 2011
JOURNAL FREE ACCESSAs part of the curriculum of the Introduction to Medicine course, a questionnaire designed to clarify the images of physicians ten years after graduation was distributed to 120 young physicians affiliated with the Department of Internal Medicine, Nihon University School of Medicine, in order to analyze the prevailing self-image of physicians and their professional identity.
Answers from 14 of the physicians suggested that their self-images and hopes related to private lifewere me same as those typically of non-physicians, that is having a happy family life, enjoying hobbies and cars, and owning real estate. However, their identity as professionals was based on not only specialist qualifications and a M.D. degree, but also “new” criteria such as conducting research, publication of articles, and presentations at academic meetings.
The findings of this survey prompted us to discuss our images of ourselves as physicians and our hopes for the future.View full abstractDownload PDF (474K) -
Clara A. CALLAHAN, Yoshimasa UMESATO, Akitsugu OJIMA1995 Volume 26 Issue 4 Pages 277-280
Published: August 25, 1995
Released on J-STAGE: August 11, 2011
JOURNAL FREE ACCESSThe 60th meeting of the Curriculum Study Association was held at Juntendo University Medical School on May 23, 1994, under the joint auspices of the Department of Medical Education, Juntendo University, and the Editorial Committee of the Association. The meeting was honored by the presence of Dr. Clara A. Callahan, who was visiting Japan on the Medical Studies Exchange Program of the American Foundation, Noguchi Medical Research Institute (NMRI).
Dr. Callahan is a well-known pediatrician specializing in the intensive care of immature infants. In our eyes, however, she is above all the vice dean of student affairs at Thomas Jefferson University, where Dr. Gonnella, our friend and an NMRI director, is the vice president and dean of the Medical School. Over the past few years, Dr. Callahan has been in charge of the training program for Japanese students, externs, and residents that the NMRI is sending to Jefferson.
At the meeting, Dr. Callahan gave us a concise and clear explanation of the medical education program at Jefferson using many slides. Their new curriculum, designed to meet both students' and researchers' needs, impressed the audience and prompted an animated discussion.
During the three weeks of her stay, Dr. Callahan visited many universities and hospitals, attending seminars and discussions. She also participated in the general meeting of the Japanese Pediatric Association at Sapporo, Hokkaido. Her energetic activities here will greatly contribute to furthering our mutual understanding and exchanges in the future.View full abstractDownload PDF (2434K)
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